DYNAMIC PHYSICAL THERAPY CENTER (NPI# 1386770659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386770659 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PHYSICAL THERAPY CENTER |
| Practice Address |
313 E Westfield Ave Roselle Park NJ 07204-2317 |
| Practice Telephone | 9086201991 |
| Practice Fax Number | 9086209777 |
| Mailing Telephone | 9086201991 |
| Mailing Fax Number | 9086209777 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SHAWN DAVIS A (ADMINISTRATOR) |
| Authorized Official Telephone | 9086201991 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Street Address |
313 E WESTFIELD AVE |
| City | ROSELLE PARK |
| State | NJ |
| Zip Code | 07204-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235325762 | Julie Rose Latorre Villabroza | Physical Therapist | 313 E Westfield Ave, Roselle Park, NJ 07204-2317 | 2007-09-18 |
| 1184819674 | Reena J Thoonkuzhy | Physical Therapist | 313 E Westfield Ave, Roselle Park, NJ 07204-2317 | 2007-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609234160 | Jennifer Estela-stollwerck | Nurse Practitioner | 744 Galloping Hill Road, Roselle Park, NJ 07204 | 2016-01-29 |
| 1245668805 | Kristin M Sonneborn | Physical Therapist | 430 East Westfield Avenue Case Plus Rehab, Roselle Park, NJ 07204 | 2013-10-17 |
| 1366785115 | Jeffrey Adam Shrensel | Internal Medicine | 318 East Westfield Avenue, Roselle Park, NJ 07204 | 2013-03-30 |
| 1972760734 | Mailyn Sanchez Malabanan | Physical Therapy Assistant | 820 Elm Street, Roselle Park, NJ 07204 | 2008-05-20 |
| 1376746362 | Diego Alberto Herrera Figueira | Orthopaedic Surgery | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | 2007-06-07 |
| 1245384916 | Senior Spirit of Roselle Park | Clinic/Center | 430 East Westfield Avenue, Roselle Park, NJ 07204 | 2007-01-22 |
| 1366592040 | Norman J. Schwartz, Dmd, Pa | Dentist | 14 East Westfield Ave, Roselle Park, NJ 07204 | 2007-01-12 |
| 1437226495 | Garden State Dental Associates, LLC | Dentist | 236 East Westfield Avenue, Roselle Park, NJ 07204 | 2006-11-28 |
| 1851311674 | Stephen D Parker | Family Medicine | 331 Chestnut Street, Roselle Park, NJ 07204 | 2006-07-21 |
| 1447205067 | Gerald West | Otolaryngology | 505 Chestnut Street, Roselle Park, NJ 07204 | 2006-05-23 |
| Find all providers in zip 07204 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1881981389 | Well of Hope Community Development Corporation, Inc. | Clinic/Center | 207 Broadway, Paterson, NJ 07501-2002 | 2011-07-05 |
| 1477728285 | Daytop Village of New Jersey, Inc. | Clinic/Center | 6 Gauntt Pl Bldg 2, Flemington, NJ 08822-4614 | 2008-04-23 |
| 1356524912 | Washington Township Corf, LLC | Clinic/Center | 100 Kings Way E Ste B4-6, Sewell, NJ 08080-2237 | 2007-12-06 |
| 1982813531 | Pilgrimage Outreach,inc. ( Fbhsp ) | Clinic/Center | 449 Union Ave, Paterson, NJ 07522-1937 | 2007-05-21 |
| 1841307881 | Daytop Village of Nj | Clinic/Center | 6 Gauntt Pl, Bldg #2, Flemington, NJ 08822-4614 | 2006-08-24 |
| 1316944523 | Wellness Center At Hamilton Park | Clinic/Center | 330 9th St, Jersey City, NJ 07302-1561 | 2005-07-01 |
| 1184621484 | Qualcare Therapy Center Inc | Clinic/Center | 2333 Morris Ave, Suite C-3, Union, NJ 07083-5714 | 2005-06-30 |
| 1215933775 | Hudson Therapy, LLC | Clinic/Center | 9225 Kennedy Blvd, North Bergen, NJ 07047-5361 | 2005-06-21 |
| Find all providers with the same taxonomy | ||||
| City | ROSELLE PARK |
| Zip Code | 07204 |
Please comment or provide details below to improve the information on DYNAMIC PHYSICAL THERAPY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.